Fact 10: Small Vessel Disease Can be Asymptomatic
One characteristic of small vessel disease that makes it particularly elusive is its potential to progress asymptomatically. Many individuals with this condition experience no discernible symptoms, especially during the early stages. This absence of symptoms can make early detection challenging, often leading to a delay in diagnosis and treatment.
The hidden nature of small vessel disease is partly due to the resilience and adaptability of our bodies. As small vessels begin to narrow or harden, the body can compensate by rerouting blood flow around the affected areas or increasing blood flow to make up for the reduced capacity. These adaptive mechanisms can mask the underlying issues, allowing the disease to advance without apparent symptoms.
Despite this lack of symptoms, damage can slowly accumulate. As small vessel disease progresses, the risk of serious complications rises. For instance, an individual may experience a sudden, severe event like a heart attack or stroke, even if they’ve never noticed symptoms before. The first noticeable sign of small vessel disease may, unfortunately, be a medical emergency.
This silent progression of small vessel disease highlights the critical importance of regular medical check-ups, especially for individuals with risk factors for the disease. Regular cardiovascular screenings can catch early signs of small vessel disease before severe complications arise. (10)